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| Section | Weight | Objectives |
|---|---|---|
| ICD-10-CM Coding | 15-17% | - Code selection & sequencing - Diagnosis coding guidelines |
| Compliance & Regulations | 8-10% | - HIPAA, fraud & abuse - Reimbursement rules |
| HCPCS Level II Coding | 5-7% | |
| Modifiers | 5-7% | |
| CPTยฎ Coding | 45-50% | - Radiology, Pathology/Laboratory, Medicine - Evaluation & Management (E/M) - Surgery (10000โ69999) |
| Reimbursement & Revenue Cycle | 5-7% | |
| Medical Terminology & Anatomy | 8-10% |
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NEW QUESTION # 37
A 62-year-old with ventricular fibrillation comes to the outpatient surgery department for the replacement of a pacing cardioverter-defibrillator. The procedure is performed under MAC anesthesia. The Certified Registered Nurse Anesthetist (CRNA), is working independently without medical direction.
What CPTand ICD-10-CM codes are reported for the CRNA?
Answer: A
NEW QUESTION # 38
The small intestine is divided into three parts. Which one of the following is NOT part of the small intestine?
Answer: D
Explanation:
The correct answer is C. Cecum. The small intestine consists of three primary sections:
* Duodenum
* Jejunum
* Ileum
These parts collectively form the small intestine, responsible for digestion and absorption of nutrients. The duodenum is the first part, where food is mixed with bile and pancreatic enzymes to aid digestion. The jejunum follows, which is primarily involved in nutrient absorption, and the ileum is the final part of the small intestine, responsible for absorbing bile acids and vitamin B12.
The cecum, however, is not part of the small intestine; it is the first part of the large intestine, specifically the beginning of the colon. It is situated at the junction between the small and large intestines.
Thus, C. Cecum is the correct answer, as it is a structure of the large intestine, not the small intestine.
Reference topics: Anatomy of the Digestive System; Small and Large Intestines
NEW QUESTION # 39
A patient is diagnosed with a healing pressure ulcer on her left heel that is currently being treated.
What ICD-10-CM coding is reported?
Answer: D
Explanation:
ICD-10-CM guidelines state that healing pressure ulcers are coded as the stage documented.
L89.624 = Pressure ulcer of left heel, stage 4
Stage 4 ulcers involve full-thickness tissue loss and are commonly referenced in exam scenarios involving treatment of healing ulcers Unspecified stage or laterality codes are not appropriate when documentation supports specificity.
NEW QUESTION # 40 
Refer to the supplemental information when answering this question:
View MR 354859
What CPTand ICD-10-CM coding is reported?
Answer: B
NEW QUESTION # 41
A 4-year-old, critically ill child is admitted to the PICU from the ED with respiratory failure due to an exacerbation of asthma not manageable in the ER. The PICU provider takes over the care of the patient and starts continuous bronchodilator therapy and pharmacologic support with cardiovascular monitoring and possible mechanical ventilation support.
What is the E/M code for this encounter?
Answer: C
Explanation:
The code 99471 is used for initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill infant or young child. Given the scenario where a 4-year-old critically ill child is admitted to the PICU and requires intensive care management, this code is appropriate as it reflects the critical care provided beyond the emergency department services. Reference: CPT Professional Edition (current year), AMA.
NEW QUESTION # 42
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